The CMS has announced rural hospitals that will participate in a new demonstration known as the Frontier Community Health Integration Project. Hospitals involved in the demonstration will receive additional Medicare reimbursement for new services that make getting healthcare more convenient.
The financial penalties would start to hit hospitals in October, but they would be based on readmissions for the three-year period ended June 2015.
Commentary: New public-private shared-risk partnership model could revive public insurance exchanges
When it comes to the public insurance exchanges, there is no shortage of issues. The approximately 12 million enrolled is far lower than originally projected. Medical costs are 22% higher. Major insurers are defecting. A new public-private partnership model is needed.
The CMS has finalized a controversial 1.5% cut to acute-care hospital reimbursement. The reduction is meant to recoup a total of $11 billion in overpayments tied to incorrect coding.
With 100 million patient encounters each year, optometrists see more individuals annually than almost any other type of provider in the U.S. healthcare system.
The CMS has revealed where it plans to launch the forthcoming Comprehensive Primary Care Plus initiative. There had been concern the model wasn't going to move forward because of lack of payer interest.
The CMS' current formulas for determining uncompensated-care payments for hospitals aren't pinned to the actual costs the facilities incur, a new government watchdog study says.
The CMS has extended a moratorium on new Medicare home-healthcare agencies and ambulance suppliers in some states. It's part of an ongoing effort to curb fraud.
The CMS announced a proposal last week to put three new episodes of care under mandatory experiments with bundled payments, potentially compelling hundreds of additional hospitals into becoming financially accountable for what happens to Medicare patients long after they leave the hospital.
In recent months, the CMS issued draft rules intended to bring transformational change to the way Medicare pays physicians and rolled out a slew of experiments with payment and delivery reforms. Acting CMS Administrator Andy Slavitt discusses these moves in a Q&A with Modern Healthcare.
Penalties for each false claim submitted to programs such as Medicare will swell to a minimum of $10,781 from a current minimum of $5,500. The maximum will go up to $21,563 per false claim from a current maximum of $11,000.
Physicians and other eligible professionals prescribing Medicare Part D drugs should be enrolled in Medicare by Aug. 1 in order to have the drugs covered by the program after Feb. 1, 2017.